Dental Hygiene Prometric Exam Questions with 100% Correct Solutions

What is an oral side effect of Prozac? (Fluoxetine, SSRI, newer generation antidepressant) - xerostomia How do steroids affect poor wound healing? (corticosteroids such as prednisone and Medrol) - delays in healing, increased risk for infections What should be done with a patient with a previous history of high blood pressure and comes in for their appointment with reading of 160/116? - Refer patient to physician immediately Premedication regimine - 2g Amoxicillin, 600 mg Clindamycin (if allergic to Amoxicillin/Penicillin) Patient comes in for appointment who needs premed, and they took 300 mg of Clindamycin 1 hour prior to their appointment. What would you do? - Administer another 300 mg and wait 1 hour prior to treatment (because Clindamycin premedication is 600 mg 1 hour prior to treatment) What is a PAN used for? - location of 3rd molars, impactions, pathology - NOT FOR BONE LOSS Items that contain fluoride? - pork, fish, tea What type of water does not contain fluoride? - well (water) Filiform papillae - - the most numerous papillae on the tongue - very small - Do NOT contain taste buds Fungiform papillae - - Mushroom shaped - containing taste buds - located on the sides and tip of the tongue. circumvallate papillae - large papillae with taste buds on back of tongue foliate papillae - located on lateral aspects of posterior tongue What is hairy tongue caused by? - elongation of the filiform papillae Delayed eruption may be caused by - delayed exfoliation Identify mandibular canal radiographically - radiolucent, long dark area outlined with dense cortical bone, located above or parallel to the inferior border of the mandible What is a thickened lamina dura caused by? Is this appearance normal? - trauma, this is not normal pathology overlap film technique error - problem: inappropriate HORIZONTAL angulation how to fix: direct beams through contact foreshortening film technique error - problem: too MUCH VERTICAL angulation how to fix: DECREASE angulation elongation film technique error - problem: too LITTLE VERTICAL angulation how to fix: INCREASE vertical angulation cone cut (circular white border) film technique error - PID should cover the entire surface of the film Identify median rhomboid glossitis - - rhombus shaped (diamond) - central denuded area of the tongue with red appearance - flat or slightly raised erythematous area in the midline of the dorsal surface of the tongue in a rhomboid shape (diamond) - may be associated with a chronic fungal infection by candida albicans - no specific treatment indicated What is the treatment for black hairy tongue? - Harmless but advise patient to clean/brush tongue regularly. Filiform papillae stain is caused by chromogenic bacteria, tobacco, alcohol, etc. What is a vitality test used for? - testing to see if the pulp is vital or not (applying cold air on cotton swap and pushing it against the tooth; if the pulp is vital it hurts, if its necrotic you would not feel anything)